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HEALING HAVEN MENTAL HEALTH
NPI 1922975978
Social Worker - Clinical in San Jacinto, CA

Active since October 22, 2025
1519 WASHINGTON AVE, SAN JACINTO, CA 92583(650) 559-4850 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Healing Haven Mental Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEALING HAVEN MENTAL HEALTH (NPI 1922975978) is a healthcare organization registered as a clinical in San Jacinto, California and active in the NPI registry since October 2025. The organization lists Kenyada Marie Wagoner, Ceo, as its authorized official.

NPPES Registry Identity

NPI1922975978
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameHEALING HAVEN MENTAL HEALTH
Location Address1519 WASHINGTON AVESan Jacinto, CA 92583-6075
Mailing Address315 E Esplanade Ave Unit 89San Jacinto, CA 92583-5102 · (951) 214-5071
Phone(650) 559-4850
Organization SubpartNo
Authorized OfficialKenyada Marie WagonerCeo · (650) 559-4850
Enumeration DateOctober 22, 2025
Last NPPES UpdateApril 27, 2026
NPPES CertifiedApril 27, 2026
✔ NPI 1922975978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1519 WASHINGTON AVE, San Jacinto, CA 92583
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CLINICAL SOLUTIONS, LICENSED CLINICAL SOCIAL WORKER, INC.
Social Worker (Clinical)
1519 WASHINGTON AVE
SAN JACINTO, CA 92583
Riverside County (951) 214-5071

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Healing Haven Mental Health's NPI number?

The NPI number for Healing Haven Mental Health is 1922975978. It was assigned to this organization in the NPPES registry on October 22, 2025.

Where is Healing Haven Mental Health located?

Healing Haven Mental Health is located at 1519 Washington Ave, San Jacinto, CA 92583. The listed phone number is (650) 559-4850.

What is Healing Haven Mental Health's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Healing Haven Mental Health was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.